Individual
JULIE M PUNCOCHAR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6000
(617) 629-6070
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8053
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
55951
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027421
NEIGHBORHOOD HEALTH
MA
01
—
055951
TUFTS
MA
01
—
202166
HARVARD PILGRIM
MA
05
—
3028402
—
MA
01
—
J07092
BLUE CROSS
MA
Enumeration date
01/18/2006
Last updated
07/08/2007
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